1980, 09-23 Permit: 80B-677 Heat PumpPLAN NUMBER APPLICATION/ PERMIT
m f SPOKANE COUNTY — BUILDING CODES DEPARTMENT
V NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
1.NoAth
LOT I BLOC
2.
OWNER
3, P1111,1? P
ADDRESS
NOAth
CONTRACTOR
a. PoweA/s
ADDRESS
F a.6,t h -
DESIGNER
'' ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
CHANGE OF USE FROM TO
6.
PHONE
ZIP
992
PHONE
535 -
ZIP
999
PHONE
ZIP
0
I yNt ❑ NEW ❑ ALT. ® AD'N. ❑ RPL. ❑ MVE.
7 El OTHER
WORK 13BLD. ElPLMB. ® MECH: ElM.H. ❑ POOL
orth ISouth
East lWest
ize of Parcel
Zone Classification
FEES COLLECTED
VALUATION
Occupancy
Sprinklered
7771
SEWER
❑Yes []No ❑ Req'd.
aluation
Building Area in Sq. Ft.
of
Utilities
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
Building
No. Baths
No. Floors
No. Rooms
I Rec. Room
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.
CERTIFICATE
Req'd.
I Rec'd.
Not Rel
of EXEMPTION
SPECIAL APPROVALS
SPECIAL CONDITIONS:
PERMIT
NUMBER
Js —
DATE Sept. 22, 1980
IJ U
A
6 6, %
_ bu79.
DESCRIBE WORK
8 pump
FEES COLLECTED
VALUATION
Source
AS
ELECTRIC- WATER
SEWER
9.
of
Utilities
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.
Plumbing
DATE SIGNATURE—
Mech. t) - a 0
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
FOR GAS:
SEPA
Planning
PIPE SIZES:
Mobile Home
Fire Marshall
PIPE LENGTHS:
Penmit
Co. Engineer
Other (Specify) -3-00_
BTU'S:
Utilities
TOTAL $ 9 .00
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPA:;I',
SEPA Checklist
THIS BECOMES A PERMIT.
DATF OFFICIAI